LER Cover Story:

Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments

Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.

By Mathias B. Forrester, BS

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Feature Articles

Unique orthotic strategies for low-volume footwear

Unique orthotic strategies for low-volume footwear

The low-volume shoes worn by cyclists, figure skaters, and others can make orthotic management of these patients challenging. So, lower extremity practitioners have had to develop creative strategies for achieving the desired biomechanical effects while working within a limited space.

By Jill R. Dorson

Protocol helps improve TKA outcomes, cut costs

Protocol helps improve TKA outcomes, cut costs

A multidisciplinary joint replacement program is improving patient outcomes, decreasing complications, and shortening hospital stays, which helps to lessen clinical anguish following total knee arthroplasty as well as the financial burden on patients and the healthcare system.

By Katie Mullen, SPT; Jon R. Cook, PT, DPT; Meghan Warren, PT, MPH, PhD; and Tarang Jain, PT, PhD, DPT

Metatarsal morphology and injury risk in runners

Metatarsal morphology and injury risk in runners

Although it has not been shown to be a risk factor for stress fracture in traditional running, the presence of Morton’s foot (a second metatarsal longer than the first) alters running mechanics in ways that may exacerbate the risks of forefoot injury associated with alternative running styles.

By Brian E Stoltenberg, DPT, OCS, CSCS; and Donald L Goss, PT, PhD, OCS, ATC

The troublesome triad of diabetic ulcer healing

The troublesome triad of diabetic ulcer healing

Uncontrolled deformity, deep infection, and ischemia-hypoxia make up the troublesome triad of confounders associated with healing challenges in patients with diabetic foot ulcers. Clinical examination and intervention in nonhealing patients should focus on these three elements.

By Anna Maria M. Tan, DPM; Michael B. Strauss, MD; and Lientra Q. Lu, BS   

Rocker-bottom footwear: effects on balance, gait

Rocker-bottom footwear: effects on balance, gait

Footwear with rocker soles are best known for helping to redistribute plantar pressures during gait in patients with diabetes, but research suggests they also have clinically relevant effects on balance and gait that can be beneficial for some populations but potentially dangerous for others.

By Greg Gargiulo

Chronic ankle instability and self-reported function

Chronic ankle instability and self-reported function

Using patient-reported outcome tools can give lower extremity clinicians insight into the disability experienced by patients with chronic ankle instability. A combination of instruments may be necessary, as different assessments may capture different aspects of the condition.

By Adam B. Rosen PhD, ATC; and Cathleen N. Brown PhD, ATC

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A Message From the Publisher

Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible

Rich Dubin, Publisher

Rich Dubin

Publisher and Chief Executive Officer

Featured Products

Lower Extremity Review

Samuel Hubbard Women’s City Zipper Boot

Samuel Hubbard Women’s City Zipper Boot

Slide in. Zip up. Step out. The City Zipper from Samuel Hubbard is designed to wow the wearer’s feet. Comfort engineering is at the heart of how Samuel Hubbard designs and builds its shoes. Meant to be the go-to-boot in any women’s closet, the women’s City Zipper is...

Insightful Products’ Masted Knee Brace

Insightful Products’ Masted Knee Brace

The Masted Knee Brace (MKB) is the newest design offered by Insightful Products. The MKB was developed primarily to address the common problem of distal migration. This knee orthosis is said to ensure good knee and brace-joint alignment. It has adjustable flexion and...

ReviStim Wearable DC Stimulator

ReviStim Wearable DC Stimulator

Prizm Medical has introduced the ReviStim DC Stimulator, which is described as the world’s first wearable DC stimulation device. The unit’s copyrighted software delivers DC electrotherapeutic energy uniformly over the entire treatment area through hydrogel stick-on...

Orthotic Strap Kits

Orthotic Strap Kits

JMS Plastics Supply has introduced orthotic straps as a new market offering. The exclusive straps are made from reinforced PVC that is welded together with high frequency to make them strong and durable. The straps feature hook-and-loop closures and are available in...

Icebreaker Hike Light Crew

Icebreaker Hike Light Crew

Suitable for adventure and hiking, Icebreaker’s men’s Hike Light Crew sock is designed to be an ideal sock for year-round comfort on the trail. The sock has double up cushioning for comfort. It is made from breathable, temperature-regulating merino wool (60%); nylon...

Piedro Pediatric Orthopedic Footwear

Piedro Pediatric Orthopedic Footwear

Cascade Orthopedic Supply has expanded its product line with the addition of Piedro Pediatric Orthopedic Footwear. The new line of footwear features a wider and deeper toe box to ensure a precision fit with orthotic devices. The double stitching and high...

The X Brace Added to Medi-Dyne Pain Relief Solutions

The X Brace Added to Medi-Dyne Pain Relief Solutions

Medi-Dyne Healthcare Products has acquired The X Brace. Developed by Joshua P. Eldridge, DC, DACBSP, for relief of heel pain due to plantar fasciitis and Sever’s disease, The X Brace is an easy-to-use foot and heel support product. It provides a comfortable,...

Step out on the Open Road

Step out on the Open Road

The Open Road from Samuel Hubbard is sleek, supple, stylish, and unapologetically comfortable. With a performance hiker tread design in natural rubber, the shoes are springy, soft, and insanely light. Walk the dog, walk to work, walk for your health, walk for a cause....

EVO Hybrid Lacer Ankle Stabilizer

EVO Hybrid Lacer Ankle Stabilizer

Med Spec is proud to introduce the new EVO® Hybrid Lacer™ Ankle Stabilizer.  The EVO Hybrid Lacer has the same internal stirrup, external stabilizing straps and dynamic cuff as the regular EVO with the addition of a hybrid lace closure system.  The lower speed laces...

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